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I think that some docs use laser to burn away the scar tissue -- but my sense is that more do the more sophisiticated procedure you're talking about -- using it like a knife.
What is the criterion for them using myomicin C in some cases and not others?
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Not quite sure, but he said that to use Mitomycin C you had to use a thicker and stiff scope which could end up damaging the airways more, and then create more scartissue. So it's a matter of weighing the pros and cons.. I guess they will consider using it next time if the first dilation didn't have satisfactory results.
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This mirrors what my ENT said to me last visit pretty closely. He said you actually are taking a bigger risk using a knife due to proximity to the vocal cords.
~ Bob
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